New Customer Registration Form

Vacation Inquiry

Currently, there are high volumes of inquiries. All inquiries after April 8 will have meetings to discuss vacation planing AFTER April 21.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Preferred Start Date*

MonthDayYear
Date
Preferred Return Date *

MonthDayYear
Date
Are your dates flexible

YesNo
Who is going on vacation? Tell us about your family/group? *
Passports are required for many vacations. Does everyone have a passport that will not expire 6 months after you return from vacation?*

YesNoSome have passports and others don'tIn process of renewingOther
Where do you wish to travel? You can name a specific place or an area. *
Let me know what vacation you are looking for. *
Where are you in the planning process?
What is your ideal investment in your trip?*

$7,000+ Couples domestic minimum$10,000+ Families domestic minimum$15,000+ Couples international minimum$20,000+ Families international minimum$30,000+ Antarctica Expedition minimumWhatever it takes to create the experience we are looking for
What amenities are a must?
Travel Pace*
Travel Style*
Are you celebrating a special occasion?
Do you have any special needs, accommodations, dietary restrictions, medical restrictions?
How many vacations do you take a year?
Where are you taken vacations in the past?
What hotel brands or names do you typically stay?
What do you need help with the most in the travel planning process? (ie - itinerary planning, the whole process, overwhelmed with choices, etc). *
Have you worked with a travel advisor before?*

No - first time I usually plan it allYes - previously had a good experienceYes - previously had a bad experienceNot officially - but friends/family often help with the planning process
Any questions/concerns on how to work with a travel advisor?
Please note: I charge a non-refundable travel planning fee for trips. The fee covers the time involved in researching, preparing and executing a completely customized travel experience for you. Please review our Terms and Conditions. This above form collects basic information so we can best help you going forward.
Please acknowledge*

Yes, I agree and know you are an expert.I would like to work with an agent you trained
How did you hear about us?*
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Vacation Inquiry